Eric Nordgren, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1241 Issued in OK

Practice address

1010 Garth Brooks Blvd Ste 115
Yukon, OK 73099-4191

Phone

(405) 561-1945

NPI assigned

Nov 16, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1659080885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 GARTH BROOKS BLVD STE 115",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994191",
            "telephone_number": "405-561-1945",
            "fax_number": "405-561-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GARTH BROOKS BLVD STE 115",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994191",
            "telephone_number": "405-561-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730134010",
            "country_code": "US",
            "telephone_number": "405-509-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDGREN",
        "first_name": "ERIC",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Yukon, OK
• Providers in Yukon, OK by specialty
• Hearing Instrument Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.